DIABETES ACTION PLAN 2010

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DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND 3.2 Maintaining vascular health Where we want to be: We want to promote an increase in the numbers of people with diabetes who achieve recommended targets for glycaemic control, blood pressure and cholesterol (Fig. 3) and a reduction in the incidence of cardiovascular events. Figure 3. Percentage of patients reaching targets for HbA 1c , BP and total cholesterol – type 2 – by NHS Board 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Ayrshire and Arran Borders Dumfries and Galloway Fife Forth Valley Grampian Greater Glasgow and Clyde Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles Scotland HbA1c
DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND Cardiovascular risk factors in diabetes include dyslipidaemia, hypertension, hyperglycaemia and smoking. Patients with diabetes who have one or more risk factors should have the relevant information to help them recognise and manage their risk factors. SIGN Guideline 116 emphasises the importance of aggressive treatment of hypertension with lifestyle modification and drug therapy and recommends a target of less than 130/80. Care systems need to ensure assessment of lipid status and introduction of statins for appropriate groups. People with diabetes who have established vascular disease need careful assessment and regular review to ensure that they benefit from the measures described in SIGN Guideline 116 (diabetes), SIGN Guideline 108 (acute stroke) and SIGN Guideline 89 (Peripheral Vascular Disease). It is incumbent on the Scottish Diabetes Group to support implementation of these Guidelines. Actions we will take: The Scottish Diabetes Group will support initiatives to improve vascular health including: • Continue to monitor cardiovascular risk factors and the prevalence of cardiovascular disease in the annual Scottish Diabetes Survey and share this with all stakeholders. The Scottish Diabetes Group will support implementation of SIGN Guideline 116 by: • Supporting SCI-DC initiatives to integrate information on vascular risk. Quality Healthcare Indicators: safe; effective. 24
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DIABETES ACTION PLAN 2010

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